House Passes Senate Health Reform Bill Along with Changes Through Reconciliation

This evening the House of Representatives passed both the Senate health reform bill, the "Patient Protection & Affordable Care Act," by a party-line yote of 219 to 212, and the accompanying reconciliation bill, the "Reconciliation Act of 2010," by a party-line vote of 220 to 211. The House Democratic leaders determined yesterday that they would have a vote on the Senate bill, reversing course on a controversial strategy of allowing lawmakers to "deem" the Senate legislation into law. Democratic House leaders helped to convince a key block of Democratic holdouts to switch to the "yes" column with a promised executive order affirming President Obama's commitment to a longstanding ban on public abortion funding. The President is expected to quickly sign the Senate reform bill into law in the upcoming week and the Senate will then begin the arduous task of attempting to pass the reconciliation bill. The changes included in the reconciliation bill will NOT go into law unless they are also passed by the Senate and signed into law by the President.

It is important to note that health reform package passed today by the House spends $1 trillion on our industry funded by new taxes and cuts to the following industries -- insurers, PhRMA, hospitals, and other providers -- without cuts to medical oncology, radiation oncology, office-administered drugs or PET/PET-CT imaging. In addition, the health reform package includes the following:

  • expanded private insurance coverage through government subsidies while eliminating pre-existing condition exclusions and rescissions and expanding the privately-insured patient population in need of cancer care   
  • no public plan option -- limited migration from private to public coverage
  • limited beneficiary out-of-pocket costs -- lower bad debt exposure
  • required insurance company coverage of routine care costs associated with a patient's participation in a clinical trial -- increased trial participation
  • creates an ACO/Medicare shared savings framework

For a more detailed analysis of the health reform package and its effect on community oncology please go to the following link: Health Care Reform Details














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Health Policy Report - December 10, 2014

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